LAKEVIEW (NPI# 1366677361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366677361 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW |
| Practice Address |
103 Lakeview Dr Goldsboro NC 27530-1125 |
| Mailing Address |
Po Box 1017 Goldsboro NC 27533-1017 |
| Practice Telephone | 9197340266 |
| Practice Fax Number | 9197349926 |
| Mailing Telephone | 9197340266 |
| Mailing Fax Number | 9197349926 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | MRS. DIANE HARRISON (PRESIDENT) |
| Authorized Official Telephone | 9197340266 |
| Is Organization Subpart | Y |
| Parent Organization Name | RENU LIFE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-096-092 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7803548 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LAKEVIEW 010819 LLC | 134-37 35th Avenue, Unit 9h, Flushing, Ny 11354 |
| Virginia Business Entities | Lakeview 1 LC | 12500 Fair Lakes Cir Ste 400, Fairfax, Virginia 22033-3804 |
| Washington State Corporations | LAKEVIEW 1133 CORPORATION | 13029 Redmond Woodinville Rd N, Redmond, WA 98052 |
| Washington State Corporations | LAKEVIEW 1205 42ND STREET OWNER, LLC | 465 Meeting St Ste 500, Charleston, SC 29403-4832 |
| Colorado Business Entities | Lakeview 1650 LLC | 1675 Broadway Ste 1200, Denver, CO 80202 |
| Virginia Business Entities | Lakeview 2 LC | 12500 Fair Lakes Cir Ste 400, Fairfax, Virginia 22033-3804 |
| Vermont Business Registrations | LAKEVIEW 2015 LLC | 48 Elm Street, Lyndonville, VT 05851 |
| New York State Corporations | LAKEVIEW 250 LLC | 45 Nethermont Ave., North White Plains, New York 10603 |
| Oklahoma Business Registrations | LAKEVIEW 360, LLC | 14501 E 360 Rd, Claremore, OK 74017 |
| Washington State Corporations | LAKEVIEW 43RD ST HOMEOWNER'S ASSOCIATION | 16688 Se 43rd St, Bellevue, WA 98006-8908 |
| Street Address |
103 LAKEVIEW DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1871788638 | Freeman House Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1806 E Ash St, Goldsboro, NC 27530-4045 | 2007-09-13 |
| 1407055858 | Renu Life LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 S Pineview Ave, Goldsboro, NC 27530-6037 | 2007-07-16 |
| 1316169683 | Howell & Howell's LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 725 Luther Drive, Goldsboro, NC 27534 | 2007-05-03 |
| 1255485959 | Renu Life LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Tinderwood Dr, Goldsboro, NC 27534-7856 | 2007-01-22 |
| 1346394012 | Renu Life Extended | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 501 Forest Hill Dr, Goldsboro, NC 27534-1824 | 2007-01-22 |
| 1174674220 | Wayne County Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1109 Royall Ave, Goldsboro, NC 27534-2505 | 2007-01-16 |
| 1275684664 | Hawthorne Services Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 S Slocumb St, Goldsboro, NC 27530-6955 | 2007-01-14 |
| 1780743815 | Rha Health Services Nc, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5709 Us Highway 70 E, Goldsboro, NC 27534-8155 | 2006-12-06 |
| 1063438695 | Nova I.c. Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 W Patetown Rd, 2307 Norwood Avenue, Goldsboro, NC 27530-1415 | 2006-07-15 |
| Find all providers in GOLDSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.